Nottingham Application for a Premises Licence Licensing Act 2003 Section
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Nottingham For help contact Application for a premises licence [email protected] Licensing Act 2003 Telephone: 0115 915 5555 * required information Section 1 of 21 You can save the form at any time and resume it later. You do not need to be logged in when you resume. This is the unique reference for this System reference Not Currently In Use application generated by the system. You can put what you want here to help you Your reference 189 Bramcote Lane track applications if you make lots of them. It is passed to the authority. Are you an agent acting on behalf of the applicant? Put "no" if you are applying on your own behalf or on behalf of a business you own or Yes No work for. Applicant Details * First name Suda * Family name Sharma * E-mail [email protected] Main telephone number 07870682349 Include country code. Other telephone number Indicate here if you would prefer not to be contacted by telephone Are you: Applying as a business or organisation, including as a sole trader A sole trader is a business owned by one person without any special legal structure. Applying as an individual Applying as an individual means you are applying so you can be employed, or for some other personal reason, such as following a hobby. Applicant Business Is your business registered in Yes No Note: completing the Applicant Business the UK with Companies section is optional in this form. House? Registration number 12626482 If your business is registered, use its Business name World Food Kitchen Limited registered name. Put "none" if you are not registered for VAT. VAT number GB 349524575 Legal status Private Limited Company © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... Your position in the business Director The country where the headquarters of your Home country United Kingdom business is located. Registered Address Address registered with Companies House. Building number or name 22B Street Main Street District East Bridgford City or town Nottingham County or administrative area Nottinghamshire Postcode NG13 8PA Country United Kingdom Section 2 of 21 PREMISES DETAILS I/we, as named in section 1, apply for a premises licence under section 17 of the Licensing Act 2003 for the premises described in section 2 below (the premises) and I/we are making this application to you as the relevant licensing authority in accordance with section 12 of the Licensing Act 2003. Premises Address Are you able to provide a postal address, OS map reference or description of the premises? Address OS map reference Description Postal Address Of Premises Building number or name 189 Street Bramcote Lane District Wollaton City or town Nottingham County or administrative area Nottinghamshire Postcode NG8 2QJ Country United Kingdom Further Details Telephone number Non-domestic rateable value of premises (£) 14,750 © Queen’s Printer and Controller of HMSO 2009 Section 3 of 21 APPLICATION DETAILS In what capacity are you applying for the premises licence? An individual or individuals A limited company / limited liability partnership A partnership (other than limited liability) An unincorporated association Other (for example a statutory corporation) A recognised club A charity The proprietor of an educational establishment A health service body A person who is registered under part 2 of the Care Standards Act 2000 (c14) in respect of an independent hospital in Wales A person who is registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 in respect of the carrying on of a regulated activity (within the meaning of that Part) in an independent hospital in England The chief officer of police of a police force in England and Wales Confirm The Following I am carrying on or proposing to carry on a business which involves the use of the premises for licensable activities I am making the application pursuant to a statutory function I am making the application pursuant to a function discharged by virtue of Her Majesty's prerogative Section 4 of 21 NON INDIVIDUAL APPLICANTS Provide name and registered address of applicant in full. Where appropriate give any registered number. In the case of a partnership or other joint venture (other than a body corporate), give the name and address of each party concerned. Non Individual Applicant's Name Name Details Registered number (where applicable) Description of applicant (for example partnership, company, unincorporated association etc) © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... Address Building number or name Street District City or town County or administrative area Postcode Country United Kingdom Contact Details E-mail Telephone number Other telephone number * Date of birth / / dd mm yyyy Documents that demonstrate entitlement to * Nationality work in the UK Add another applicant Section 5 of 21 OPERATING SCHEDULE When do you want the premises licence to start? 01 / 03 / 2021 dd mm yyyy If you wish the licence to be valid only for a limited period, / / when do you want it to end dd mm yyyy Provide a general description of the premises For example the type of premises, its general situation and layout and any other information which could be relevant to the licensing objectives. Where your application includes off-supplies of alcohol and you intend to provide a place for consumption of these off- supplies you must include a description of where the place will be and its proximity to the premises. Licensed restaurant and deli © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... If 5,000 or more people are expected to attend the premises at any one time, state the number expected to attend Section 6 of 21 PROVISION OF PLAYS See guidance on regulated entertainment Will you be providing plays? Yes No Section 7 of 21 PROVISION OF FILMS See guidance on regulated entertainment Will you be providing films? Yes No Section 8 of 21 PROVISION OF INDOOR SPORTING EVENTS See guidance on regulated entertainment Will you be providing indoor sporting events? Yes No Section 9 of 21 PROVISION OF BOXING OR WRESTLING ENTERTAINMENTS See guidance on regulated entertainment Will you be providing boxing or wrestling entertainments? Yes No Section 10 of 21 PROVISION OF LIVE MUSIC See guidance on regulated entertainment Will you be providing live music? Yes No Section 11 of 21 PROVISION OF RECORDED MUSIC See guidance on regulated entertainment Will you be providing recorded music? Yes No Section 12 of 21 PROVISION OF PERFORMANCES OF DANCE See guidance on regulated entertainment Will you be providing performances of dance? © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... Section 13 of 21 PROVISION OF ANYTHING OF A SIMILAR DESCRIPTION TO LIVE MUSIC, RECORDED MUSIC OR PERFORMANCES OF DANCE See guidance on regulated entertainment Will you be providing anything similar to live music, recorded music or performances of dance? Yes No Section 14 of 21 LATE NIGHT REFRESHMENT Will you be providing late night refreshment? Yes No Section 15 of 21 SUPPLY OF ALCOHOL Will you be selling or supplying alcohol? Yes No Standard Days And Timings MONDAY Give timings in 24 hour clock. Start 10:00 End 23:00 (e.g., 16:00) and only give details for the days of the week when you intend the premises Start End to be used for the activity. TUESDAY Start 10:00 End 23:00 Start End WEDNESDAY Start 10:00 End 23:00 Start End THURSDAY Start 10:00 End 23:00 Start End FRIDAY Start 10:00 End 23:00 Start End SATURDAY Start 10:00 End 23:00 Start End © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... SUNDAY Start 10:00 End 23:00 Start End Will the sale of alcohol be for consumption: If the sale of alcohol is for consumption on the premises select on, if the sale of alcohol On the premises Off the premises Both is for consumption away from the premises select off. If the sale of alcohol is for consumption on the premises and away from the premises select both. State any seasonal variations For example (but not exclusively) where the activity will occur on additional days during the summer months. Non-standard timings. Where the premises will be used for the supply of alcohol at different times from those listed in the column on the left, list below For example (but not exclusively), where you wish the activity to go on longer on a particular day e.g. Christmas Eve. New Years Eve 10:00 - 02:00 (New Years day) State the name and details of the individual whom you wish to specify on the licence as premises supervisor Name First name Suda Family name Sharma Date of birth dd mm yyyy © Queen’s Printer and Controller of HMSO 2009 Continued from previous page... Enter the contact's address Building number or name Street District City or town County or administrative area Postcode Country Personal Licence number (if known) Issuing licensing authority (if known) Ruschliffe Borough Council PROPOSED DESIGNATED PREMISES SUPERVISOR CONSENT How will the consent form of the proposed designated premises supervisor be supplied to the authority? Electronically, by the proposed designated premises supervisor As an attachment to this application Reference number for consent If the consent form is already submitted, ask form (if known) the proposed designated premises supervisor for its 'system reference' or 'your reference'. Section 16 of 21 ADULT ENTERTAINMENT Highlight any adult entertainment or services, activities, or other entertainment or matters ancillary to the use of the premises that may give rise to concern in respect of children Give information about anything intended to occur at the premises or ancillary to the use of the premises which may give rise to concern in respect of children, regardless of whether you intend children to have access to the premises, for example (but not exclusively) nudity or semi-nudity, films for restricted age groups etc gambling machines etc.